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NURSING PROCESS APPROACH, 11TH EDITION BY LIN
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DA E. MCCUISTION CHAPTER 1-58 NEW UPDATE
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Chapterps01:psThepsNursingpsProcesspsandpsPatient-CenteredpsCare
McCuistion:psPharmacology:psApsPatient-
CenteredpsNursingpsProcesspsApproach,ps11thpsEdition
MULTIPLEpsCHOICE
1. Allpsofpsthepsfollowingpswouldpsbepsconsideredpssubjectivepsdata,psEXCEPT:
a. Patient-reportedpshealthpshistory
b. Patient-reportedpssignspsandpssymptomspsofpstheirpsillness
c. Financialpsbarrierspsreportedpsbypsthepspatient’spscaregiver.
d. Vitalpssignspsobtainedpsfrompsthepsmedicalpsrecord.
ANS:psD.
Subjectivepsdatapsispsbasedpsonpswhatpspatientspsorpsfamilypsmemberspscommunicate
pstopsthepsnurse.psPatient-
reportedpshealthpshistory,pssignspsandpssymptoms,psandpscaregiverpsreportedpsfinanci
alpsbarrierspswouldpsbepsconsideredpssubjectivepsdata.psVitalpssignspsobtainedpsfrompst
hepsmedicalpsrecordpswouldpsbepsconsideredpsobjectivepsdata.
DIF: CognitivepsLevel:psUnderstandingps(Comprehension) TOP: Nursing
Process:psPlanningMSC:psNCLEX:psManagementpsofpsClientpsCare
2. Thepsnursepsispsusingpsdatapscollectedpstopsdefinepsapssetpsofpsinterventions
pstopsachievepsthepsmostpsdesirableoutcomes.psWhichpsofpsthepsfollowingps
stepspsispsthepsnursepsapplying?psa. Recognizingpscuesps(assessment)
b. Analyzepscuesps&psprioritizepshypothesisps(analysis)
c. Generatepssolutionsps(planning)
d. Takepsactionps(nursingpsinterventions)
ANS:psC
Whenpsgeneratingpssolutionsps(planning),psthepsnursepsidentifiespsexpectedpsoutcome
spsandpsusespsthepspatient’spsproblem(s)pstopsdefinepsapssetpsofpsinterventionspstopsachiev
epsthepsmostpsdesirablepsoutcomes.psRecognizingpscuesps(assessment)psinvolvespsthepsg
atheringpsofpscuesps(information)psfrompsthepspatientpsaboutpstheirpshealthpsandpslifesty
lepspractices,
, whichpsarepsimportantpsfactspsthatpsaidpsthepsnursepsinpsmakingpsclinicalpscarepsdecisio
ns.psPrioritizingpshypothesispsispsusedpstopsorganizepsandpsrankpsthepspatientpsproblem
(s)identified.psFinally,pstakingpsactionpsinvolvespsimplementationpsofpsnursingpsinterv
entionspstopsaccomplishpsthepsexpectedpsoutcomes.
DIF:p s CognitivepsLevel:psUnderstandingps(Comprehe
nsion)TOP:psNursingpsProcess:psNursingpsIntervention
MSC:psNCLEX:psManagementpsofpsClientpsCare
3. Aps5-year-
oldpschildpswithpstypeps1psdiabetespsmellituspshaspshadpsrepeatedpshospitalizationsps
forpsepisodespsofhyperglycemia. psThepsparentspstellpsthepsnursepsthatpstheypscan’tpsk
eeppstrackpsofpseverything
thatpshaspstopsbepsdonepstopscarepsforpstheirpschild.psThepsnursepsreviewspsmedications,psdi
et,psandpssymptompsmanagementpswiththepsparentspsandpsdrawspsuppsapsdailypschecklistps
forpsthepsfamilypstopsuse.psThesepsactivitiespsarepscompletedpsinwhichpssteppsofpsthepsnursi
ngpsprocess?
a. Recognizingpscuesps(assessment)
b. Analyzepscuesps&psprioritizepshypothesisps(analysis)
, c. Generatepssolutionsps(planning)
d. Takepsactionps(nursingpsinterventions)
ANS:psD
Takingpsactionpsthroughpsnursingpsinterventionspsispswherepsthepsnursepsprovidespspat
ientpshealthpsteaching,drugpsadministration,pspatientpscare,psandpsotherpsinterventio
nspsnecessarypstopsassistpsthepspatientpsinpsaccomplishingpsexpectedpsoutcomes.
DIF:p s CognitivepsLevel:psUnderstandingps(Comprehe
nsion)TOP:psNursingpsProcess:psNursingpsIntervention
MSC:psNCLEX:psManagementpsofpsClientpsCare
4. Thepsnursepsispspreparingpstopsadministerpsapsmedicationpsandpsreviewspsthepspati
ent’spschartpsforpsdrugpsallergies,psserumpscreatinine,psandpsbloodpsureapsnitroge
nps(BUN)pslevels.psThepsnurse’spsactionspsarereflectivepsofpswhichpsofpsthepsfollowi
ng?psa.psRecognizingpscuesps(assessment)
b. Analyzepscuesps&psprioritizepshypothesisps(analysis)
c. Takepsactionps(nursingpsinterventions)
d. Generatepssolutionsps(planning)
ANS:psA
Recognizingpscuesps(assessment)psinvolvespsgatheringpssubjectivepsandpsobjectivepsi
nformationpsaboutpsthepatientpsandpsthepsmedication.psLaboratorypsvaluespsfrompsth
epspatient’spschartpswouldpsbepsconsideredpscollectionpsofpsobjectivepsdata.
DIF:psCognitivepsLevel:psUnderstandingps(Comprehension)
TOP:psNursingpsProcess:psAssessment MSC:psNCLEX:psManagementpsofpsClientpsCare
5. Whichpsofpsthepsfollowingpswouldpsbepscorrectlypscategorizedpsaspsobjectivepsdata?
a. Apslistpsofpsherbalpssupplementspsregularlypsusedpsprovidedpsbypsthepspatient.
b. Labpsvaluespsassociatedpswithpsthepsdrugspsthepspatientpsispstaking.
c. Thepsagespsandpsrelationshippsofpsallpshouseholdpsmemberspstopsthepspatient.
d. Usualpsdietarypspatternspsandpsfoodpsintake.
ANS:psB
Objectivepsdatapsarepsmeasuredpsandpsdetectedpsbypsanotherpspersonpsandpswouldp
sincludepslabpsvalues.psTheotherpsexamplespsarepssubjectiveps data.
DIF:psCognitivepsLevel:psUnderstandingps(Comprehension)
TOP:psNursingpsProcess:psAssessment MSC:psNCLEX:psManagementpsofpsClientpsCare
6. Thepsnursepsreviewspsapspatient’spsdatabasepsandpslearnspsthatpsthepspatientpslivespsal
one,psispsforgetful,psandpsdoespsnotpshavepsanpsestablishedpsroutine.psThepspatientpsw
illpsbepssentpshomepswithpsthreepsnewpsmedicationspstopsbepstakenpsatpsdifferentpstim
espsofpsthepsday.